TITLE:
Epidemiology, the Main Reasons and Maternal-Fetal Complications of Unassisted Childbirth in the Health District of V Bamako Commune, Mali
AUTHORS:
Soumana Oumar Traoré, Cheickna Sylla, Saleck Doumbia, Alou Samaké, Amadou Bocoum, Seydou Fané, Rokiatou Torian Sangaré, Fatoumata Keita, Ibrahima Tegueté, Youssouf Traoré, Niani Mounkoro, Mamadou Traoré, Amadou Ingré Dolo
KEYWORDS:
Childbirth, Unsured, Reasons
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.10,
October
14,
2020
ABSTRACT: Objective: To describe the epidemiological aspects, to
determine the reasons leading women to give birth outside of health facilities
and to determine the maternal prognosis. Patients and Methods: This was a cross-sectional, analytical, quantitative and qualitative
descriptive study over a period from 1 June to 31 December 2016 (7 months) on unassisted childbirth in the health district of commune V of Bamako. Results: We recorded 70 unsured deliveries, a frequency of 1.04% out of a total of
6719 deliveries. The extreme ages were 15 years and 41 years with an average
age of 28 years. 90% of the birth attendants were married and 10% were single.
The women's profession: 48% were housewives, 11% saleswomen, 13% hairdressers,
4% female teachers. Education level: 71% were uneducated and 29% educated.
Among those who are educated, their level was primary in 50%, secondary in 32%
and higher in 18%. 42% had done antenatal consultation. The main reasons:
ignorance of work 44.3%; religious beliefs and societal burdens 10.0%; fear of
caesarean section 4.3%; late-night birth labour 5.7%; lack of financial and/or
transport means 17.1%; distance
from the locality 2.9%; insecurity 2.9%. Maternal and perinatal prognosis: complications
were mostly hemorrhagic and concerned 27 (39%) patients. These included uterine
atony (13 cases), placental retention (8 cases), soft part lesions (6 cases). We
have not recorded any maternal deaths. For the condition of newborns at the
time of admission: 88% of newborns were alive, 11% were stillborn fresh and 1%
stillborn macerated. Conclusion: The reasons
are multifactorial and seem to be a reflection of our society.